Integrations and Applications Developer

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Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

As a private, non‑profit 501(c)(3) community health organization, we serve over 414,000 medical, dental, and behavioral health visits from more than 95,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an organization you would like to be a part of, we would love to meet you.

The Integration & Applications Developer is responsible for supporting and enhancing custom‑built applications while designing and maintaining integrations between Electronic Medical Records (EMRs), internal systems, and third‑party platforms. This role combines application development support with integration engineering, ensuring systems are secure, efficient, and interoperable. The ideal candidate will bring hands‑on technical skills along with architectural thinking to deliver reliable healthcare technology solutions.

Location:

This opportunity is fully remote but candidates must be located in San Diego County or Riverside County.

• Integration – Design, implement, and maintain integrations between EMRs (e.g., eClinical
  
  Works), custom applications, and third‑party systems using APIs, HL7, FHIR, CCD/CCDA, and secure data feeds.
• Application Support & Extension – Support and extend existing applications by refining workflows, adding features, and ensuring stability, security, and efficiency.
• API & Middleware Development – Build and maintain API clients, services, and middleware to enable smooth data exchange across clinical, business, and operational systems.
• Cloud & Container Operations – Deploy and manage integration services and application components in containerized environments using Kubernetes.
• Automation & Workflow Optimization – Identify and implement opportunities to automate manual workflows across departments using APIs, orchestration tools, or RPA.
• Secure Engineering – Apply best practices for authentication, token management, and secure data handling in compliance with HIPAA and regulatory standards.
• Collaboration & Troubleshooting – Work closely with developers, clinicians, and business stakeholders to diagnose issues, prototype solutions, and ensure positive user outcomes.
• Documentation & Standards – Create and maintain technical documentation for APIs, integrations, workflows, and application support processes.

• Bachelor’s degree in computer science, information systems, or equivalent experience required.
• 4+ years of experience in full stack development required.
• Experience in a healthcare environment strongly preferred.
• Hands‑on experience with React, Node.js, C#, SQL, and Kubernetes (support and extension, not full‑scale build) preferred.
• Experience working with eCW APIs and multi‑token authentication flows preferred.
• Experience with AWS or other cloud platforms, particularly API management and orchestration services preferred.
• Experience with monitoring, logging, and alerting for integration services preferred.
• Experience with healthcare interoperability standards (HL7, FHIR, CCD/CCDA) preferred.

• Familiarity with Chrome extensions and API‑based enhancements for EMRs.
• Exposure to RPA tools and healthcare workflow automation.
• Familiarity with EMRs (eCW preferred), healthcare applications, and clinical workflows.
• Ability to troubleshoot and resolve complex issues across multiple systems.
• Knowledge of secure…